AMY D PAVLACIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093417

License Status

NOT RENEWED

Business

First Name

AMY D

Last Name

PAVLACIC

Business Name

AMY D PAVLACIC

Original Issue Date

07/03/1990

Effective Date

07/03/1990

Expiration Date

03/31/1993

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005